Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.49 / $48.49 / $48.49	Facility	26	$48.49	$48.49	$48.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $86.48 / $141.50	Professional		$71.40	$86.48	$141.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.09 / $48.49 / $63.09	Professional	26	$45.09	$48.49	$63.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.17 / $32.85 / $72.75	Professional	TC	$26.17	$32.85	$72.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $107.35 / $213.15	Professional		$79.90	$107.35	$213.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $58.39 / $101.15	Professional	26	$43.41	$58.39	$101.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.40 / $46.37 / $87.24	Professional	TC	$39.40	$46.37	$87.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $128.10 / $191.74	Professional		$93.51	$128.10	$191.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.91 / $65.09 / $91.45	Professional	26	$50.91	$65.09	$91.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $66.22 / $100.29	Professional	TC	$32.86	$66.22	$100.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $102.83 / $180.70	Professional		$101.81	$102.83	$180.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.88 / $50.38 / $135.91	Professional	26	$49.88	$50.38	$135.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.94 / $60.09 / $141.54	Professional	TC	$51.94	$60.09	$141.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $88.15 / $141.50	Professional		$71.40	$88.15	$141.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $44.92 / $48.49 / $66.27	Professional	26	$44.92	$48.49	$66.27
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $26.07 / $38.00 / $79.00	Professional	TC	$26.07	$38.00	$79.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $100.19 / $158.96	Professional		$73.67	$100.19	$158.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.56 / $63.84 / $88.53	Professional	26	$42.56	$63.84	$88.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.70 / $37.71 / $88.39	Professional	TC	$28.70	$37.71	$88.39